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‘Just because something works doesn’t mean it can’t be improved’: an ethnographic analysis of the health system in Black Panther’s Wakanda
The emergence of COVID-19 (SARS-CoV-2) has introduced significant global challenges for healthcare systems, healthcare professionals and patients. This current climate creates an opportunity to learn from equitable health systems and move toward making fundamental changes to healthcare systems. Our...
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Published in: | BMJ global health 2023-04, Vol.8 (4), p.e011733 |
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creator | Jackson, Jennifer Ferreira, Carla Scott, Melissa Barah, Elke Jaibeeh Upal, Zahra Phelps, Krista Mei, Carol Woo, Haneul Tung, Megan Gadimova, Farida Ewanyshyn, Alexandra Perry, Samantha Ens, Twyla Ginn, Carla |
description | The emergence of COVID-19 (SARS-CoV-2) has introduced significant global challenges for healthcare systems, healthcare professionals and patients. This current climate creates an opportunity to learn from equitable health systems and move toward making fundamental changes to healthcare systems. Our ethnographic analysis of Wakanda’s healthcare system in Black Panther, from the Marvel Cinematic Universe, offers opportunities for system-level transformation across healthcare settings. We propose four healthcare system themes within the context of Wakandan identity: (1) technology as an instrument (blending bodies and technology, blending technology with tradition); (2) reimagining medication; (3) warfare and rehabilitation; and (4) preventative approaches to health (prioritising collective health, deprofessionalisation of healthcare services). The preceding themes represent core elements of Wakandan health systems that allow the people of Wakanda to thrive. Wakandans retain a strong identity and cultural traditions while embracing modern technologies. We found that effective upstream approaches to health for all are embedded in anti-colonial philosophies. Wakandans embrace innovation, embedding biomedical engineering and continuous improvement into care settings. For global health systems under strain, Wakanda’s health system identifies equitable possibilities for system change, reminding us that culturally relevant prevention strategies can both decrease pressure on health services and allow all people to thrive. |
doi_str_mv | 10.1136/bmjgh-2023-011733 |
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This current climate creates an opportunity to learn from equitable health systems and move toward making fundamental changes to healthcare systems. Our ethnographic analysis of Wakanda’s healthcare system in Black Panther, from the Marvel Cinematic Universe, offers opportunities for system-level transformation across healthcare settings. We propose four healthcare system themes within the context of Wakandan identity: (1) technology as an instrument (blending bodies and technology, blending technology with tradition); (2) reimagining medication; (3) warfare and rehabilitation; and (4) preventative approaches to health (prioritising collective health, deprofessionalisation of healthcare services). The preceding themes represent core elements of Wakandan health systems that allow the people of Wakanda to thrive. Wakandans retain a strong identity and cultural traditions while embracing modern technologies. We found that effective upstream approaches to health for all are embedded in anti-colonial philosophies. Wakandans embrace innovation, embedding biomedical engineering and continuous improvement into care settings. For global health systems under strain, Wakanda’s health system identifies equitable possibilities for system change, reminding us that culturally relevant prevention strategies can both decrease pressure on health services and allow all people to thrive.</description><identifier>ISSN: 2059-7908</identifier><identifier>EISSN: 2059-7908</identifier><identifier>DOI: 10.1136/bmjgh-2023-011733</identifier><identifier>PMID: 37028813</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Analysis ; Anthropology, Cultural ; Colonialism ; COVID-19 ; Delivery of Health Care ; Ethnography ; Global health ; Health care ; Health services ; Health systems ; Health systems evaluation ; Humans ; Prevention strategies ; Public Health ; Qualitative study ; Racism ; SARS-CoV-2 ; Traditions</subject><ispartof>BMJ global health, 2023-04, Vol.8 (4), p.e011733</ispartof><rights>Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.</rights><rights>2023 Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. http://creativecommons.org/licenses/by-nc/4.0/ This is an open access article distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited, appropriate credit is given, any changes made indicated, and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/ . Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.</rights><rights>Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. 2023</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-b371t-382276314b76cd858b943afba1326690289802d6b51dff0de7467becb07f16b03</cites><orcidid>0000-0002-8343-1388 ; 0000-0001-9401-761X ; 0000-0003-4049-6293</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://gh.bmj.com/content/8/4/e011733.full.pdf$$EPDF$$P50$$Gbmj$$Hfree_for_read</linktopdf><linktohtml>$$Uhttps://gh.bmj.com/content/8/4/e011733.full$$EHTML$$P50$$Gbmj$$Hfree_for_read</linktohtml><link.rule.ids>230,314,727,780,784,885,27924,27925,53791,53793,55350,77660,77686</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/37028813$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jackson, Jennifer</creatorcontrib><creatorcontrib>Ferreira, Carla</creatorcontrib><creatorcontrib>Scott, Melissa</creatorcontrib><creatorcontrib>Barah, Elke Jaibeeh</creatorcontrib><creatorcontrib>Upal, Zahra</creatorcontrib><creatorcontrib>Phelps, Krista</creatorcontrib><creatorcontrib>Mei, Carol</creatorcontrib><creatorcontrib>Woo, Haneul</creatorcontrib><creatorcontrib>Tung, Megan</creatorcontrib><creatorcontrib>Gadimova, Farida</creatorcontrib><creatorcontrib>Ewanyshyn, Alexandra</creatorcontrib><creatorcontrib>Perry, Samantha</creatorcontrib><creatorcontrib>Ens, Twyla</creatorcontrib><creatorcontrib>Ginn, Carla</creatorcontrib><title>‘Just because something works doesn’t mean it can’t be improved’: an ethnographic analysis of the health system in Black Panther’s Wakanda</title><title>BMJ global health</title><addtitle>BMJ Glob Health</addtitle><addtitle>BMJ Global Health</addtitle><addtitle>BMJ Glob Health</addtitle><description>The emergence of COVID-19 (SARS-CoV-2) has introduced significant global challenges for healthcare systems, healthcare professionals and patients. This current climate creates an opportunity to learn from equitable health systems and move toward making fundamental changes to healthcare systems. Our ethnographic analysis of Wakanda’s healthcare system in Black Panther, from the Marvel Cinematic Universe, offers opportunities for system-level transformation across healthcare settings. We propose four healthcare system themes within the context of Wakandan identity: (1) technology as an instrument (blending bodies and technology, blending technology with tradition); (2) reimagining medication; (3) warfare and rehabilitation; and (4) preventative approaches to health (prioritising collective health, deprofessionalisation of healthcare services). The preceding themes represent core elements of Wakandan health systems that allow the people of Wakanda to thrive. Wakandans retain a strong identity and cultural traditions while embracing modern technologies. We found that effective upstream approaches to health for all are embedded in anti-colonial philosophies. Wakandans embrace innovation, embedding biomedical engineering and continuous improvement into care settings. 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subjects | Analysis Anthropology, Cultural Colonialism COVID-19 Delivery of Health Care Ethnography Global health Health care Health services Health systems Health systems evaluation Humans Prevention strategies Public Health Qualitative study Racism SARS-CoV-2 Traditions |
title | ‘Just because something works doesn’t mean it can’t be improved’: an ethnographic analysis of the health system in Black Panther’s Wakanda |
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